Philippines Itemized OHI Claim Checklist

Download the Philippines Itemized OHI Claim Checklist

• Use pages 1 and 2 when your other health insuranceHealth insurance you have in addition to TRICARE, such as Medicare or an employer-sponsored health insurance. TRICARE supplements don’t qualify as "other health insurance." plan doesn't, can't, or won't do a proper explanation of benefits showing what was paid and what was not paid.
• Page 1 serves as an itemized bill or receipt of services received/paid for. Use this when a provider can't or won't produce an itemized bill, receipt or statement of services rendered. It must be complete and signed by the provider.

If you have questions, contact the TAO-Pacific Regional Call Center: 

• Monday-Friday
• 7:30 a.m. to 4:30 p.m.
• Japan Standard Time

Address	TRICARE Area Office-Pacific NH Okinawa PSC 482, Box 2749 FPO AP 96362
Phone	1-888-777-8343 option 4 if calling from the U.S.
DSN	315-643-2036
Commercial	+81-98-970-9155 (country code: 011)
Fax	315-643-2037
Email	tpao.csc@med.navy.mil